Frondelius Anna, Kinnunen Ulla-Mari, Jormanainen Vesa
Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland.
Research Center for Nursing Science and Social and Health Management, Wellbeing Services County of North Savo, Kuopio, Finland.
Methods Inf Med. 2024 Sep;63(3-04):66-76. doi: 10.1055/a-2511-7866. Epub 2025 Jan 8.
The aim of the national health care quality registers is to monitor, assess, and improve the quality of care. The information utilized in quality registers must be of high quality to ensure that the information produced by the registers is reliable and useful. In Finland, one of the key sources of information for the quality registers is the national Kanta services.
The objective of the study was to increase understanding of the significance of information quality for the secondary use of the information in the national health care quality registers and to provide information on whether the information quality of the national Kanta services supports the information needs of the national quality registers, and how information quality should be developed.
The research data were collected by interviewing six experts responsible for national health care quality registers, and it was analyzed using theory-driven qualitative content analysis based on the DeLone and McLean model.
Based on the results, the relevance of the information in the Kanta services met the information needs of the national quality registers. However, due to the limited amount of structured information and deficiencies in the completeness of the information, relevant information could not be fully utilized. Deficiencies in information quality posed challenges in information retrieval and hindered drawing conclusions in reporting. Challenges in information quality did not diminish the intention to use the information when information was considered relevant. Solutions to improve information quality included structuring, development of documentation practices, patient information systems and quality assurance, as well as collaboration among stakeholders.
The Kanta services' information is relevant for the national health care quality registers, but developing the quality of the information, especially in terms of structures and completeness, is the key to fully enabling the secondary use of this information.
国家医疗保健质量登记册的目的是监测、评估和提高医疗保健质量。质量登记册所使用的信息必须高质量，以确保登记册产生的信息可靠且有用。在芬兰，质量登记册的关键信息来源之一是国家Kanta服务。
本研究的目的是增进对信息质量对于国家医疗保健质量登记册中信息二次使用的重要性的理解，并提供有关国家Kanta服务的信息质量是否支持国家质量登记册的信息需求，以及应如何发展信息质量的信息。
通过采访六位负责国家医疗保健质量登记册的专家收集研究数据，并基于DeLone和McLean模型使用理论驱动的定性内容分析进行分析。
基于研究结果，Kanta服务中信息的相关性满足了国家质量登记册的信息需求。然而，由于结构化信息数量有限以及信息完整性存在缺陷，相关信息无法得到充分利用。信息质量缺陷在信息检索方面带来挑战，并阻碍了报告中得出结论。当信息被认为相关时，信息质量方面的挑战并未削弱使用该信息的意愿。提高信息质量的解决方案包括结构化、文档实践的发展、患者信息系统和质量保证，以及利益相关者之间的协作。
Kanta服务的信息与国家医疗保健质量登记册相关，但提高信息质量，特别是在结构和完整性方面，是充分实现该信息二次使用的关键。
